1205910981 NPI number — TEAM NURSE, INC.

Table of content: (NPI 1205910981)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205910981 NPI number — TEAM NURSE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEAM NURSE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205910981
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1051 E CARY ST STE 910
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23219-0019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-323-9464
Provider Business Mailing Address Fax Number:
804-330-3156

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 EXCHANGE ST STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24541-3500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-799-1959
Provider Business Practice Location Address Fax Number:
434-799-1957
Provider Enumeration Date:
10/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROYSTER
Authorized Official First Name:
ASHLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
804-323-9464

Provider Taxonomy Codes

  • Taxonomy code: 163WC2100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: HCO-10148 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3747P1801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 385H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0087041213 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1205910981 . This is a "PRIVATE DUTY" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 0087721772 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HCO-09148 . This is a "STATE LICENSURE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: ML-171464 . This is a "COMMONWEALTH OF VA VDH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 008751099 . This is a "PRIVATE DUTY MEDICAID" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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